THC Massachusetts TENET HEALTHCARE CORPORATION (THC) Key/Legend Organizational Chart Effective 1/1/17 * These three entities have general payer contracting responsibilities for the healthcare providers affiliated with for purposes of HPC RPO Program THC, and may, therefore depending on the nature of a Vanguard Health Systems, Inc. particular payer contract, undertake contracting activities Health Services Network on behalf of the Massachusetts entities. Hospitals, Inc. * ** NEQCA contracts for the MetroWest PO physicians and Vanguard Health Holding the MWPS, who are part of the AHO. Company I, LLC (Holdco I) *** CMIPA contracts with certain physicians of SVPS National ASC, Inc.* Tenet Florida, Inc. Non-Clinical Non THC Entity Vanguard Health Holding Company II, LLC (Holdco II) Clinical 3rd-party Contracting Entity National Urgent Care, Inc. * Vanguard Health Management, Inc. New England Quality Care CMIPA, Inc. (non-THC Alliance, Inc. (non-THC Vanguard Health Financial Entity/Contracting) Entity/Contracting) Company, LLC (CMIPA) *** (NEQCA) ** VHS Acquisition Subsidiary Number 7, Inc. MetroWest Healthcare VHS Acquisition Subsidiary Number 9, Inc. d/b/a Saint Vincent Hospital Alliance, Inc. (non-THC d/b/a MetroWest Medical Center (SVH) Entity/PO) (MWMC) 24% 50% 50% Ownership Ownership Ownership MetroWest Accountable Healthcare Saint Vincent Physician Total Accountable Care VHM Services, Inc. d/b/a Organization, LLC Services, Inc. d/b/a Saint Organization, LLC d/b/a 76% Ownership MetroWest Physician (AHO) Vincent Medical Company Collaborative Health ACO Services (MWPS) (SVPS) (ACO) Additional subsidiary detail continued on slide 2 Note: The Hospitals and Physician Services entities consolidate their reporting to CHIA and the HPC for purposes of the annual cost hearings and submit the information under the name of Tenet Healthcare Northeast Region (TNR). TNR is not a legal entity but merely facilitates the submission of the information 1 on behalf of the reporting entities. MetroWest Medical Center Ownership Structure Additional Subsidiary Detail continued from Page 1 VHS Acquisition Subsidiary Number 9, Inc. d/b/a MetroWest Medical Center (MWMC) 15.33% 33.33% 36.42857% Ownership Ownership Ownership PET/CT Services by MetroWest Imaging Provider Network Tufts Medical Center Alliance, LLC Center, LLC and Shields, LLC (PNA) 2 .